| Revti Patel, PA-C | |
|
17 Patriot Way, Hainesport, NJ 08036-2633 | |
| (609) 556-2371 | |
| Not Available |
| Full Name | Revti Patel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 17 Patriot Way, Hainesport, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851243513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Robert Wood Johnson University Hospital | New brunswick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rutgers Health-rwj Neurosurgery Faculty | 4587613443 | 189 |
| Entity Name | Rutgers Health-rwj Neurosurgery Faculty |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710012604 PECOS PAC ID: 4587613443 Enrollment ID: O20050118000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Revti Patel, PA-C 17 Patriot Way, Hainesport, NJ 08036-2633 Ph: Not Available | Revti Patel, PA-C 17 Patriot Way, Hainesport, NJ 08036-2633 Ph: (609) 556-2371 |
Jason Rosengard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-1004 |
Amanda Ciavaglia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-1004 |
Drew Polhemus, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-2333 Fax: 609-267-2533 |
Blake Feingold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-267-1004 |
Laura Blake Roth, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Creek Crossing Blvd., Hainesport, NJ 08036 Phone: 856-206-4795 |
Danielle Marie Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-261-5800 Fax: 609-261-5801 |
Megan Selnek, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404b Creek Crossing Blvd, Hainesport, NJ 08036 Phone: 609-845-3988 Fax: 609-914-4907 |